Organization
BIG COUNTRY ENTERPRISES, INC.
Active
Organization
BIG COUNTRY ENTERPRISES, INC.
Active
Other names
Larson's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL HOOVER (CONTROLLER)
(325) 236-6351
Entity
Organization
Contact information
Practice address
502 S AVENUE F, KNOX CITY, TX 79529-2110
(940) 657-3210
(940) 657-3820
Mailing address
PO BOX 8, SWEETWATER, TX 79556-0008
(325) 235-7608
(325) 236-6336
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27814
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5905318
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/08/2012
Last updated
03/08/2012
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